Migraine Acute Treatment (Triptans, NSAIDs)

When a migraine starts, the goal is to treat early, before the pain becomes severe. Depending on your history, Dr. Golian may prescribe a triptan to target the migraine process directly, an NSAID or other analgesic for acute pain, or a combination, along with anti-nausea support if needed.

Together you will review which medication to take first, the right timing, and how to handle an attack that does not fully respond. Because triptans are not appropriate for everyone, your plan is shaped around your cardiovascular history and any other conditions you manage.

Before your appointment, it helps to track your recent attacks: how often they occur, how long they last, what they feel like, and any triggers you notice. Note every medication and supplement you take, including over-the-counter pain relievers, so we can complete an accurate medication reconciliation and avoid interactions.

Also be ready to share your heart and blood pressure history, since this guides whether triptans are a safe option. If you have warning signs of a different kind of headache, mention them right away.

Once you start your rescue plan, we monitor how well it works and how often you need it. Keeping a simple headache log helps us see whether your medication is controlling attacks or whether using it too frequently is contributing to rebound headaches.

If your migraines are frequent or disabling, we may add a daily preventive approach or arrange coordinated subspecialty care including Cedars-Sinai with a neurologist. As a membership practice, Dr. Golian stays directly reachable between visits to adjust your plan as needed.